DR. BRENA MANISH DESAI


Address: 15715 46th Ave, Flushing, NY 11355-2353
Phone: 7184453029

DR. BRENA MANISH DESAI (NPI# 1619929502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619929502
Entity Type Individual
Full Name DR. BRENA MANISH DESAI
Other Name BRENA BHARATKUMAR SHAH
Credential MD
Practice Address 15715 46th Ave
Flushing
NY 11355-2353
Practice Telephone 7184453029
Practice Fax Number 7184452889
Mailing Telephone 7184453029
Mailing Fax Number 7184452889
Enumeration Date 2006-05-17
Last Update Date 2019-02-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 225205 NY Allopathic & Osteopathic Physicians
Y 208000000X Pediatrics 225205 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 02286208 05

Office Location

Street Address 15715 46TH AVE
City FLUSHING
State NY
Zip Code 11355-2353

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588281364 Antoinette Sanon Registered Nurse 42-49 Alban St, Flushing, NY 11355 2020-06-29
1336765353 Jayesh Nakum Physical Therapist 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 2020-06-25
1417582990 Royal Class Home Health Care Agency, Inc Home Health 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 2020-03-05
1356972673 Christine Samuel Nurse Practitioner Nyp Queens, 56-45 Main Street, Flushing, NY 11355 2020-01-27
1740842590 Ji Nu Lee Acupuncturist 138 49 Barclay Ave. 6a, Flushing, NY 11355 2019-07-02
1386203990 Paula Scharffenberg Registered Nurse 140-50 Poelar Ave, Queens, NM 11355 2019-06-07
1821655101 Erin Cisney Student in an Organized Health Care Education/Training Program 5654 Main St, Flushing, NY 11355 2019-05-22
1356810063 Sanjay Lodha Physician PC Internal Medicine 45 72 Parsons Lewis Blvd, Flushing, NY 11355 2018-11-26
1740756576 Allday Pharmacy Inc Pharmacy 4199 Main St, Suite 202a, Flushing, NY 11355 2018-10-19
1477035806 Xiaona Mo Acupuncturist 42-67 Saull St #b, Flushing, NY 11355 2018-09-01
Find all providers in zip 11355

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619508900 Total Care Pediatrics Pllc Pediatrics 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 2020-01-27
1609425040 Yoojin Kim M.d.p.c Pediatrics 15814 Northern Blvd Ste Ml7, Flushing, NY 11358-1600 2019-09-09
1861914202 Charles I. Okwundu Pediatrics 5757 78th St, Flushing, NY 11379-5303 2017-07-07
1013440262 Alicia Marie Mcbride Pediatrics 5645 Main St Fl 1, Flushing, NY 11355-5045 2017-04-05
1841672961 Chak Shui Wong Pediatrics 4265 Kissena Blvd Ste L4, Flushing, NY 11355-3273 2015-06-25
1497161558 Jae Hong Min, M.d.,p.c. Pediatrics 3409 Murray St Fl 1, Flushing, NY 11354-3948 2014-07-09
1235494899 Meenakshi Bhuvaneswar Pediatrics 139-25-31st Rd, Apt 4a, Flushing, NY 11354 2012-07-10
1952693228 Michael Jerry Lee Pediatrics 136-26 37th Avenue, Flushing, NY 11354-1721 2011-05-05
1598064107 Hongye Li Pediatrics 13107 40th Rd Ste E09, Flushing, NY 11354-5208 2011-03-22
1437454576 Irfan Asra Pediatrics 42-55 Colden St, Apt 6c, Flushing, NY 11355 2011-01-21
Find all providers in FLUSHING

Competitor

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City FLUSHING
Zip Code 11355

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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